A nurse in a prenatal clinic is teaching a group of clients about nutrition requirements during lactation. Which of the following statements should the nurse make?
The recommended intake of iron increases.
Zinc intake should be at least 12 mg per day.
Calcium intake should be at least 2,000 mg per day.
The recommended intake of folic acid remains the same as for pregnant women.
The Correct Answer is B
Choice A Reason:
The recommended intake of iron does not necessarily increase during lactation. In fact, the iron requirement may decrease because menstruation usually ceases, reducing iron loss. However, maintaining adequate iron intake is still important for overall health and to support the baby's growth.
Choice B Reason:
Zinc is crucial for immune function, cell division, and growth, making it an important nutrient during lactation. The recommended dietary allowance (RDA) for zinc for lactating women is indeed higher than for non-pregnant, non-lactating women, with an RDA of about 12 mg per day.
Choice C Reason:
While calcium is important for bone health, the recommended intake for lactating women is not as high as 2,000 mg per day. The RDA for calcium for lactating women is about 1,000 mg per day, similar to that for non-lactating women.
Choice D Reason:
The recommended intake of folic acid does not remain the same as for pregnant women. During pregnancy, the RDA for folic acid is higher to prevent neural tube defects. While folic acid is still important during lactation for cell growth and DNA synthesis, the requirement is slightly lower than during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
In the case of a client with painless, bright red vaginal bleeding at 38 weeks of gestation, the priority is to stabilize the client's condition. Initiating IV access is crucial as it allows for rapid administration of fluids or blood products to address potential hypovolemia and to prepare for the possibility of an emergency cesarean section if needed. The client's low blood pressure and elevated heart rate suggest that she may be experiencing hypovolemia, which can quickly lead to hypovolemic shock if not treated promptly.
Choice B reason:
While obtaining informed consent is important before any surgical procedure, it is not the immediate priority. The priority is to stabilize the client, and consent can be obtained concurrently with other stabilizing actions or by another member of the healthcare team.
Choice C reason:
Inserting an indwelling urinary catheter is a supportive measure that can be necessary during labor or before surgery to keep the bladder empty, reducing the risk of bladder injury during a cesarean section and monitoring urine output as an indicator of renal perfusion. However, it is not the first priority in the presence of significant vaginal bleeding.
Choice D reason:
Preparing the abdominal and perineal areas is part of the preoperative procedure for a cesarean section. This action would follow after the client has been stabilized and a decision for surgery has been made.
Correct Answer is C
Explanation
Choice a Reason: Encourage the client to move to the left lateral position
Moving to the left lateral position is often recommended to improve circulation and prevent compression of the vena cava by the uterus in a pregnant client. However, in the case of a boggy fundus postpartum, this position is not the primary action to be taken.
Choice b Reason: Ask the client to rate her pain
While assessing pain is important in the postpartum period, it is not the immediate action required for a boggy fundus. A boggy fundus indicates that the uterus is not contracting properly, which can lead to excessive bleeding.
Choice c Reason: Assist the client to the bathroom to void
A boggy fundus that is displaced to the right often indicates a full bladder, which can prevent the uterus from contracting effectively. Assisting the client to the bathroom to void can help the uterus contract and reduce the risk of hemorrhage.
Choice d Reason: Encourage the client to perform Kegel exercises
Kegel exercises are beneficial for strengthening the pelvic floor muscles after childbirth. However, they are not the immediate action to take for a boggy fundus postpartum
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